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HomeMy WebLinkAbout204649 12/13/2011 CITY OF CARMEL, INDIANA VENDOR: 00351747 Page 1 of 1 ONE CIVIC SQUARE TRI STATE BEARING CO INC CARMEL, INDIANA 46032 PO BOX 4737 CHECK AMOUNT: $17.73 EVANSVILLE IN 47724 -0737 CHECK NUMBER: 204649 CHECK DATE: 12/13/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 461967 17.73 OTHER EXPENSES TRI -STATE BEARING INVOICE Shipped from: 2205 ENTERPRISE PARK PLACE INDIANAPOLIS, IN 46218 Customer Cop PH317- 924 -3287 FX317- 924 -3561 Remit to: Nuin6ei� r '1''. s' 461967 P.O.Box 4737 hi. Evansville, IN 47724 -0737 Da te •3 11/29/11 Phone: 812 -425 -1336 Fax: 812 421 -6788 DLS 'Page;.: Bill To: Carmel Utilities Ship To Carmel Wastewater Treatment PI 7430 760 3rd Ave SW Ste 110 L Z 4609 Hazel Dell Pkwy Carmel, IN 46032 Indianapolis, IN 46280 n Reference Shipped; t Salesperson Term's r RrTax;;Code Doc Whu Feig t h Shtp Via VERBAL -JEFF 11/22/11 ZI House Indi NET 30 DAYS X 100753 07 PREPAID PU Item Description Ordered Shipped Backordrd UM. Price UM Extension HAR 80X125X12ADL SEAL; METRIC;DBL.LIP 1.QQ 1.00 .00 EA 17.73 EA 17.73 b t }t A ,�,kt r r r �Merchandrse Y 4 y r 1 „Mist' a 'Discount r Tax Frel I ��,7btal Due 4a h 4 "��1re tr slr �a 1k l�r� i�,� f ,rqz w, a a J `E -'�7, 17.73 .00 .00 .00 17.73 WE APPRECIATE YOUR BUSINESS VOUCHER 116380 WARRANT ALLOWED 351747 IN SUM OF TRI -STATE BEARING CO., INC. P.O. BOX 4737 EVANSVILLE, IN 47724 -0737 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 461967 01- 7202 -06 $17.73 Voucher Total $17.73 Cost distribution ledger classification if claim paid under vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show, kind of service, where performed, dates of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 351747 TRI -STATE BEARING CO., INC. Purchase Order No. P.O. BOX 4737 Terms EVANSVILLE, IN 47724 -0737 Due Date 12/6/2011 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/6/2011 461967 $17.73 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 1Z 'Will f yu Date Officer